DMH Medical Billing Manager

Description A DMH Medical Billing Manager is a needed for Healthcare Organization in Los Angeles. The DMH Medical Billing Manager will review and verify through the use of reports that client records are complete for a successful transmission of medical claims for reimbursement from Department of Mental Health and private third-party providers. The DMH Medical Billing Manager is responsible for ensuring that information is processed accurately and timely, and is Familiar with concepts, practices, and procedures for all billing claims to Department of Mental Health (DMH) using the Electronic Health Record (EHR) software EXYM.Essential Duties and Responsibilities Submit timely weekly billing to Los Angeles County Department of Mental Health and third party payers using EHR, EXYM and Office Ally. Collaborate with QA Department to oversee the electronic health record, EXYM; for billing, case closures, location, funding sources and productivity updates. Review, manage and develop billing procedures as needed to maintain compliance with local, state and federal regulations. Knowledge of use and application of Current Procedural Terminology (CPT) Codes. Identify and notify management of denial patterns and issues. Responsible for data tracking and reporting. Manage, track and resolve denied and voided claims, following through until claim is paid. Responsible for weekly download of SIFT Data. Review data for claim accuracy in DMH/IBHIS and EXYM systems. Collaborate and consult effectively with Clinical Quality Assurance, Mental Health and any other staff/programs to ensure adherence to policies and procedures. Generate and distribute statistical management reports to leadership, identifying unfiled, pending, denied, and submitted claims. Responsible for maintaining the highest level of billing standards following current guidelines from Medi-Cal, and other insurance entities. Understand how mental health staff in electronic databases (NAPPA, NPPES) affects billing accuracy and completion. Check Medi-Cal eligibility on a bi-monthly basis for all clients and compiling list of clients with terminated Medi-Cal as needed, and provide management reports. Attend internal and external meetings and trainings. Perform a variety of general clerical duties; prepares a variety of routine correspondence, forms, reports and similar items using word processing and Excel Spreadsheet. Develop and maintain claim resolution skills through continuous trainings, workshops and education.Requirements Candidate must possess a minimum of 5 years of experience in a relevant field. Proficiency in Medical Billing is a requisite for this role. Demonstrated experience in Medical Management is essential. The applicant should have prior experience as a Medical Manager. Knowledge and understanding of Mental Health issues is mandatory. Familiarity with Behavioral Health concepts is required. Expertise in Medi-Cal procedures is crucial for this role. Experience in Medical Collections is a necessary skill. Proficiency in managing the HealthCare Revenue Cycle is a must.Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .